Homestead_Krieg (2)i, : _ ..
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Each undersiened wrtifies, undzr penalty of pequry, that the above and foregoing infortnation is we and correct and that he or she is elieible to
receive the homestead standard deduc�ion on this property. Fach undersi¢ned al;o undersiands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taees and substantial financial penalties.
Oxner 1 Signanuc Uam ( 7'elephme
T�. � o� 21�o
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